The American Journal of Surgery
Volume 198, Issue 2 , Pages 227-230 , August 2009

Surgical outcomes following pancreatic resection at a low-volume community hospital: do all patients need to be sent to a regional cancer center?

  • John David Cunningham, M.D.

      Affiliations

    • Department of Surgery, Colombia University College of Physicians and Surgeons, New York, NY, USA
    • Department of Surgery, Overlook Hospital, Summit, NJ, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-908-277-8950; fax: +1-908-673-7350
    • ,
  • Nancy O'Donnell, C.T.R.

      Affiliations

    • Department of Surgery, Overlook Hospital, Summit, NJ, USA
    • ,
  • Paul Starker, M.D.

      Affiliations

    • Department of Surgery, Colombia University College of Physicians and Surgeons, New York, NY, USA
    • Department of Surgery, Overlook Hospital, Summit, NJ, USA

Received 25 February 2008 ,Revised 25 September 2008

References 

  1. Kalser MH, Ellenberg SS. Pancreatic cancer (Adjuvant combined radiation and chemotherapy following curative resection). Arch Surg. 1985;120:899–903
  2. Bilimoria KY, Bentrem DJ, Ko CY, et al. National failure to operate on early stage pancreatic cancer. Ann Surg. 2007;246:173–180
  3. Bilimoria KY, Bentrem DJ, Ko CY, et al. Multimodality therapy for pancreatic cancer in the U.S.. Cancer. 2007;110:227–234
  4. Lieberman MD, Kiburn H, Lindsey M, et al. Relation of perioperative deaths to hospital volume among patients undergoing pancreatic resection for malignancy. Ann Surg. 1995;222:538–645
  5. Sosa JA, Bowman HM, Gordon TA, et al. Importance of hospital volume in the overall management of pancreatic cancer. Ann Surg. 1998;228:429–438
  6. van Heek NT, Kuhlmann KFD, Scholten RJ, et al. Hospital volume and mortality after pancreatic resection. Ann Surg. 2005;242:781–790
  7. Fong Y, Gonen M, Rubin D, et al. Long-term survival is superior after resection for cancer in high-volume centers. Ann Surg. 2005;242:540–547
  8. Birkmeyer JD. Should we regionalize major surgery? (Potential benefits and policy considerations). J Am Coll Surg. 2000;190:341–350
  9. Gordon TA, Bowman HM, Tielsch JM, et al. Statewide regionalization of pancreaticoduodenectomy and its effect on in-hospital mortality. Ann Surg. 1998;228:71–78
  10. Gouma DJ, van Geenen CI, van Gulik TM, et al. Rates of complications and death after pancreaticoduodenectomy: risk factors and the impact of hospital volume. Ann Surg. 2000;232:786–795
  11. Rosemurgy AS, Bloomston M, Serafini FM, et al. Frequency with which surgeons undertake pancreaticoduodenectomy determines length of stay, hospital charges and in-hospital mortality. J Gastrointest Surg. 2001;5:21–26
  12. Kotwall CA, Maxwell JG, Brinker CC, et al. National estimates of mortality rates for radical pancreaticoduodenectomy in 25,000 patients. Ann Surg Oncol. 2002;9:847–854
  13. Sener SF, Fremgen A, Menck HR, et al. Pancreatic cancer: a report of treatment and survival trends for 100,313 patients diagnosed from 1985–1995, using the national cancer database. J Am Coll Surg. 1999;189:1–7

PII: S0002-9610(09)00045-2

doi: 10.1016/j.amjsurg.2008.10.023

The American Journal of Surgery
Volume 198, Issue 2 , Pages 227-230 , August 2009

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